Kenneth Kleckner
Emergency Physician
5501 Old York Rd Einstein Medical Center - Philadelphia
Philadelphia
, Pennsylvania 19141-3018
Kenneth Kleckner
Emergency Physician
5501 Old York Rd Einstein Medical Center - Philadelphia
Philadelphia
, Pennsylvania 19141-3018
(732) 349-6030
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Kenneth Kleckner
- Po Box 697 Suite 400
- Toms River, NJ
- Zip : 08754-0697
- Fax : (732) 349-6030
- Phone : (800) 528-0006
Second Address
- Kenneth Kleckner
- 5501 Old York Rd Einstein Medical Center - Philadelphia
- Philadelphia, PA
- Zip : 19141-3018
- Fax : (215) 456-8502
- Phone : (215) 456-6679
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 247889 | NY |
| N | 207P00000X | Emergency Physician | MD442848 | PA |
National Provider Identifier
| NPI | 1003080623 |
|---|---|
| Provider Name | Kenneth Kleckner |
| First Address | Toms River, NJ 08754-0697 |
| Second Address | Philadelphia, PA 19141-3018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2008 |
| Last Update Date | 13/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.